What is panic disorder?

To understand panic disorder, you first have to understand what are panic attacks.

  • A panic attack occurs when a person experiences symptoms such as rapid heartbeat, shallow breathing, tingling sensations, sweating, feelings of unreality or of being “out-of-body,” and fears of going crazy or dying. These symptoms can come on suddenly, but are typically short-lived.

Panic disorder occurs when a person fears having a panic attack in situations where escape would be difficult or embarrassing, and therefore avoids such situations, or endures them with very high anxiety. It is often described as a “fear of fear.”

The avoidance of these situations is called “agoraphobia.”

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How is panic disorder treated?

The most effective treatment for panic disorder is cognitive behavior therapy (CBT). CBT is a collaborative, short-term, action-orientated, skills-based approach that targets the individual’s unhelpful beliefs and perceptions of their panic symptoms and their ability to cope with them.

CBT for panic disorder and agoraphobia consists of a “cognitive” component, in which the individual learns to identify and change unhelpful beliefs about their panic symptoms, and a “behavioral” component, in which the person gradually confronts their feared situations (i.e., “exposure”).